NPIMap

Individual provider Active NPI

Jared Ben Hains, PA

  • Physician Assistant
  • Orem, UT
National Provider Identifier
1780750091
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6358848-1206 Issued in UT
Practice address
700 W 800 N Ste 444
Orem, UT 84057-6305
Phone
(801) 714-6412
NPI assigned
Nov 28, 2006
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6358848-1206 UT Primary

Addresses

Primary practice location

700 W 800 N Ste 444
Orem, UT 84057-6305

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000329 UT Practitioner - Physician Assistant 3870695950 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 373-4366

1055 N 500
Provo, UT 84604-3305

700 W 800
Suite 444
Orem, UT 84057-6305
Phone (801) 714-6412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Nov 30, 2020 Accepting new patients
Copperview Medical Center, LLC Internal Medicine CurrentSince May 6, 2018 Accepting new patients
Mountainstar Cardiology St Marks LLC CurrentSince Dec 1, 2025 Accepting new patients
Ihc Health Services Inc Internal Medicine CurrentSince Nov 8, 2022 Accepting new patients
Mountainstar Cardiovascular Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Revere Health PC CurrentSince Nov 30, 2020 Accepting new patients
Interventional Spine & Pain Management Past Accepting new patients

Locations

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 101
Provo, UT 84604

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1160 E 3900 S
Ste 2000
Slc, UT 84124
Phone (801) 266-3418

3556 W 9800 S
Ste 101
South Jordan, UT 84095
Phone (801) 567-9780

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
Ste 4100
St George, UT 84790
Phone (435) 251-2900

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

Interoperability endpoints

  • Direct secure messaging: jaredhains@cuccu.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1780750091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N STE 444",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576305",
            "telephone_number": "801-714-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINS",
        "first_name": "JARED",
        "middle_name": "BEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6358848-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.